Maximum discharge along the river is currently at the reporting a streamflow rate of cfs. This is also the highest stage along the North Mayo River, with a gauge stage of ft at this location. This river is monitored from 1 different streamgauging stations along the North Mayo River, the highest being situated at an altitude of ft, the .

The North Mayo River is located in the northwestern region of North Carolina and runs for approximately 30 miles. It has a rich history dating back to the 18th century when it was used for transportation and fishing by the Cherokee tribe. The river is fed by several tributaries and is known for its clear water and scenic views. The river has several reservoirs including the Belews Lake and Mayo Lake, which provide drinking water and recreational activities such as fishing and boating. There are also several dams along the river, including the hydroelectric powerhouse at the Belews Lake Dam. The North Mayo River is primarily used for agricultural purposes in the surrounding communities, including the cultivation of tobacco and other crops.